Presentation

Patient Data

Abdomen

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Frontal

Dilated loops of large bowel up until the sigmoid colon. Few air-fluid levels on erect projection. Gas is present in the rectum. Large faecal mass present in the caecum/ascending colon. This may represent a partial large bowel obstruction with a transition point in the sigmoid colon.

Abdomen/Pelvis

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non-contrast

Thickened segment of sigmoid colon with diverticulae. Pericolonic fat stranding which extends superiorly around the descending colon with associated prominent lymph nodes. Colon is dilated measuring up to 7 cm (transverse colon) and 10.5cm (caecum) up until the thickened sigmoid segment. Gas and faeces are present in the rectum. Small bowel is collapsed but appears unremarkable. No free gas or free fluid. Prominent mesenteric and para-aortic lymph nodes without lymphadenopathy by size criteria.